Discover and read the best of Twitter Threads about #pregnancy

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Day 5: Parliament #MonsoonSession2020

#RajyaSabha has assembled

On agenda:
-Homoeopathy Central Council (Amd) Bill
-Indian Medicine Central Council (Amd) Bill
-Salaries & Allowances of Ministers (Amd) Bill
-Salary, Allowances & Pension of MPs (Amd) Bill
-IIIT Laws (Amd) Bill Image
Papers & Parliamentary Committee Reports tabled including the Interim Report on ‘𝗙𝘂𝗻𝗰𝘁𝗶𝗼𝗻𝗶𝗻𝗴 𝗼𝗳 #𝗩𝗶𝗿𝘁𝘂𝗮𝗹𝗖𝗼𝘂𝗿𝘁𝘀 / 𝗖𝗼𝘂𝗿𝘁 𝗣𝗿𝗼𝗰𝗲𝗲𝗱𝗶𝗻𝗴𝘀 𝘁𝗵𝗿𝗼𝘂𝗴𝗵 #𝗩𝗶𝗱𝗲𝗼𝗖𝗼𝗻𝗳𝗲𝗿𝗲𝗻𝗰𝗶𝗻𝗴'

Zero Hour underway

#RajyaSabha
Issues raised during Zero Hour:

-#garibkalyanrozgaryojana not implemented in #Chhattisgarh despite return of over 5L migrants; highest population below #poverty line- @MPKTSTulsi
-Closure of #BSNL #4G in rural areas in #Odisha
-Regulation of #Liquor Mafia in Punjab
Read 28 tweets
1/ The latest #COVID19 research roundup from @Reuters covers studies in @TrendsGenetics, @JAMANetwork, and @AnnalsofIM, and from @medrxivpreprint. reut.rs/31NqScw Image
2/ In @TrendsGenetics, researchers from @Lacassagne_Nice say large-scale genetic screening to identify populations vulnerable to #COVID19 may well be possible. bit.ly/3fYZA7W Image
3/ At 17 #nursinghomes in France, staff members opted to live-in during the pandemic, and residents’ risk for #COVID19 went down dramatically, @jbelmin and colleagues in report @JAMANetwork. bit.ly/2Y3NlRo Image
Read 6 tweets
ABRUPTION OF PLACENTA
My wife went to the market yesterda
The bike she took had an accident but luckily she wasn't injured
She however said the baby was not moving as usual
I rushed to bring her to hospital this morning
Doctor, I did not have any injury she said
@aproko_doctor
Abruption of placenta happens when there is premature separation of the placenta that nourishes the baby from the womb

It can happen following injury/accident.
Unfortunately the woman was right, the placenta had separated, sadly the baby died.
They were devastated
Other things that can cause this separation includes high blood pressure, smoking, drug abuse etc.

Please if any pregnant woman has any form of physical trauma/accident, go to the hospital immediately, this may save the lives of both mother &/child.

#pregnancy
#Health
Read 3 tweets
[1/n]. Kerala (43) had the lowest and Assam had the highest (215) #MaternalMortalityRatio vis-à-vis other states/ UTs during 2016-18

URLs: bit.ly/3fxSO8Z
bit.ly/33IwKWS

#InstitutionalDeliveries
#FemaleNutrition
#Pregnancy
#SDGs
[2/n]. India's #MaternalMortalityRatio during 2016-18 was 113 maternal deaths per one lakh live births

URLs: bit.ly/3fxSO8Z
bit.ly/33IwKWS

#NationalHealthPolicy2017
#SampleRegistrationSystem
[3/n]. #Kerala (2.1) had the lowest and #UttarPradesh (17.8) had the highest #MaternalMortalityRate vis-à-vis other states/ UTs during 2016-18

URLs: bit.ly/3fxSO8Z
bit.ly/33IwKWS

#MaternalDeaths
#SDGs
#SustainableDevelopmentGoals
Read 4 tweets
1/ “Protect your pregnant patients. The first ones who need the masks are pregnant women. The first to avoid social contact should be pregnant women.”

- Dr. David Baud, expert on emerging infectious diseases and pregnancy @unil #COVID19 #pregnancy
2/ USA @CDCgov published in late June:

- 91,412 women of reproductive age with #COVID19
- 8,207 were pregnant

*Pregnant women were 50% more likely to end up in ICUs and 70% more likely to need ventilators, although they were no more likely to die
3/ Public Health Agency of Sweden published in July:
- Small study N=53 over 4 wks
- 13 #COVID19-infected pregnant women admitted to ICU
- 40 nonpregnant infected women were admitted to ICU

*Pregnant or immediately PP women with #COVID19 were nearly 6x as likely to land in ICUs
Read 5 tweets
1/ Inspired by the work of @LashNolen and @DocElovitz yesterday, in addition to the ongoing work from @timesuphealthcare and some amazing nursing colleagues @iamn0tthe1 and @mclemoremr

I created a list called "Advancing Women's Health"
twitter.com/i/lists/127600…
#MedTwitter #BLM
2/ @DocElovitz wanted to help amplify #women and #BIPOC working in #ReproductiveHealth, #pregnancy, #WomensHealth, #MaternalMorbidity, #placenta, #PretermBirth, #Reproimmunolgy and #ReproductiveJustice

This is a start, and by no means a complete list, and will be ever evolving.
3/ As @LashNolen so eloquently stated in @NEJM:

"Our inaction will be especially harmful for patients with intersecting marginalized identities, such as women of color, who already bear the brunt of some of our most pressing health disparities"

We have much work to do...
Read 6 tweets
1/ Q: What do we know about #COVID19 and #pregnancy?

A: The Nerdy Girls posted on this several weeks back, but we have some updates from recent research:(jamanetwork.com/journals/jama/…)

Here are a few highlights:
2/
👶 Pregnant women are no more likely to have high disease severity than than non-pregnant adults.

🩸We don't know if #COVID__19 crosses the placenta; the few studies on antibodies in infants produced unreliable results because the antibody test results were prone to error.
3/
🤰Most newborns born to mothers with COVID-19 are negative for COVID-19.

🤱 Experts recommend feeding breast milk to infants if possible, even if the mother has COVID-19.
Read 11 tweets
A #practical topic for today. #Pregnancy changes things - but more so for our #neurology patients - or not? #pearls from the #EAN2020 #MedEd #MedTwitter #MedStudentTwitter #neurologyresident @EANeurology @WNGtweets
Let’s first address #multiplesclerosis. Patients get better in third trimester and 30% relapse #postpartum. Immune responses shifts to anti-inflammatory in 3rd trimester to accommodate fetus - #etcomehome - but rebounds after birth. #MedEd #doubledoc #AcademicTwitter
Continue #firstlineinjectables #glatiramer and #interferon - these don’t cause #teratogenicity. In flares, consider IVIG and PLEX. How about #steroids? Usually fine except in 1st trimester when they can cause birth defects #MedEd #MedStudentTwitter #MedTwitter
Read 6 tweets
Important article by @TheLancetInfDis to manage PREGNANT women infected with #Covid_19 as the immunocompromised status and physiological changes can make pregnant women more susceptible. #pregnancy #PregnantWoman
thelancet.com/journals/lanin…
Updating Thread: #Covid_19 literature from REPUTED journals.
Read 24 tweets
Welcome to Fertility Friday

What is your own explanation of Infertility?

Please tweet your thoughts

@DrJohnAfam @DrZobo @aproko_doctor @ronikpe @TheTalkDoctor_ @AkindeCassandra

#May1st #staysafe #COVID19 #womenshealth #infertility
#pregnancy
A THREAD Image
About 60% of couples will achieve pregnancy within one year of trying

About 80-85% of couples will achieve pregnancy within two years of trying

So what is Infertility?
@NaijaObgyn @aproko_doctor @healthertainer @DrZobo
#fertility #women #staysafe #COVID19 #babies #mothers
Infertility is the failure to achieve a clinical pregnancy after 12 months or more of REGULAR unprotected sexual intercourse”-WHO

Regular☝️☝️here is at least 3-4 times a week

15-20% of couples experience infertility

Infertility can be primary or secondary
#NaijaOBGYNdoctor
Read 3 tweets
Starting a series on clinical Pearls I am gathering in #COVID19 patients based on experiences of many experts

Will add as we go along

Feel free to add your own observations/experiences

#covidclinicalpearls /1
Anosmia is likely the most specific #COVID19 related symptom
30% of patients have anosmia as their 1st symptom
#covidclinicalpearls /2
Around 90% of patients have fever.
50% maybe afebrile at the time of presentation
Fever tends to be very resistant to routine measures in hospitalized patients
There is no consensus that NSAIDs are to be avoided in #COVID2019 patients

#covidclinicalpearls /3
Read 66 tweets
Thread Exposing MOLESTER BAGGA. @TajinderBagga
In the video he plays victim but
I'm the real victim #Metoo
school drop out, learn spelling of pregnancy .you could have asked that female .
Well her chapter & you are totally different .Let's start how it began
#MeToo #DadToo
You came to Bangalore & asked me if I m taking you out for dinner .I said my house is far. I told we ll go out tomorrow day time. You told that you are a public figure & you want to meet me at home only .I agreed .
Who calls around 8 am & asks if can come to home .How Desperate
I gave you time at 10 & then you came to my home .You are mannerless to roam around in my house .You asked for coffee when I moved into kitchen you followed me ,I told you to relax at the living room. you told ur hungry. Adjusted turban using my spoons on dining table
Read 25 tweets
Today’s #EQUIP #Perinatalmentalhealth training @MaudsleyNHS @ORTUSevents is about smoking cessation and helping people to quit smoking delivered by our amazing colleagues @MaryYatesSLaM #smokefreenhs #QuitSMOKING @HelenGalley @DrHKhalifeh @SWMH_IoPPN @TrudiSene1
Polycyclic hydrocarbons in cigarette increases metabolism of many psychotropic medication including clozapine
Smoking increases risk of anxiety and depression.
Read 23 tweets
The hardships endured by rural women during #pregnancy & #childbirth tend to go unnoticed. A recent survey (JABS) sheds light on this hidden ordeal. The findings were released today (18th Nov) at the Indian Women’s Press Corps, Delhi.

Thread with sneak-peak findings. [1/16]
The case for #MaternityEntitlements was made almost 100 years ago… [2/16]
Some women are more equal than others…

India gets credit for generous #maternitybenefits (see UNICEF infographic), but that’s only for a small minority of women in the #formalsector. There was nothing for other women in #unorganized sector until .... [3/16]
Read 17 tweets
Tomm we start a journey at @ZuckerSoM w/ 3rd yr #MedicalStudents to enhance #Awareness #Education #Skills #Comfort #Hope re: #OpioidCrisis

13.5 hours - "#OpioidEpidemic" themed week (3rd iteration)

Follow/RT as Students, Colleagues, & I tweet - #OURcrisis

#MEDeD #RecoveryMonth
1️⃣0️⃣0️⃣ MS3 #Students

6️⃣0️⃣ Faculty/Facilitators

3️⃣0️⃣ Clinical/Non-Clinical Depts

#OURcrisis @ZuckerSoM

@GIMaPreceptor @DrYili @MartinsWelchMD @JoeCMD @medicmin911 @ektrenchard @ethanfried @ginofarina @LindaWDeMasi @AFornari1 @joemd @DrAhuja @santhoshpaulus6 @TomMcGinn4
#Strategic Full Circle
1. from Health System (need)
2. to School of #Medicine (access)
3. to Health System (access/mission)

Our #OpioidEpidemic themed week is part of a 30+hour 4-yr longitudinal 'Addressing #SubstanceUse' curriculum
#OURcrisis #MEDeD
🔗: sgim.org/File%20Library…
Read 28 tweets
Some observations from my #pregnancy so far (personal and not true for all). A never ending thread: 1) Your mother always seems to remember a “magical” pregnancy until you are definitely pregnant and then suddenly her memory serves up all the drama, hormones and heartburn.
2) Even though doctors nowadays seem to know a lot, there is still a surprising amount that they don’t. So if something is not as expected they will cross things off the list and at the end your options are A) the kid’s fine, B) the kid has alien DNA and MIB is coming.
3) Different countries have wildly different rules about pregnancy. In Greece sex is “not recommended” until the 16th week, in the UK they encourage exercise... 😂😂😂
Read 35 tweets
Just published: Team uses mNGS + culture-based techniques + negative controls 👉 Identify fungi + bacteria in complex communities in the first pass meconium (stool) of infants☝️Indicates that the neonatal gut microbiome starts to form in the womb: biorxiv.org/content/10.110…
2/2 The organisms they identified colonizing the fetal #intestine prior to birth 👉 were identified in the meconium of both term-born and #preterm newborns☝️And machine learning suggested that #fungal gut communities develop in complexity w/ advancing gestational age at birth.
3/3 Quote from paper 👉 “The demonstration of live #microorganisms in the #newborn gut represents a monumental shift from the sterile #womb hypothesis that dominated perinatal biology for the last century...”
Read 7 tweets
1/7 @medsinpregnancy #pregnancy #postpartumdepression
So, the FDA approves Brexanolone for postpartum depression - a 60-hour continuous infusion at about $25K - with this accompanying picture 😡👇
I refuse to let this pass in silence...
bit.ly/2uhwGKR
2/7 @medsinpregnancy #pregnancy #postpartumdepression
Approval is based on two Pivotal phase III trials reported in Lancet comparing infusions of this drug to placebo in two populations of postpartum women with moderate and high HAM-D scores, respectively: bit.ly/2TPprJA
3/7 @medsinpregnancy #pregnancy #postpartumdepression
Effect after 60 hours clinically meaningful effect against placebo for high HAM-D baseline scores. After 7 days not all that impressive.
Y-axis: why not use actual changes in HAM-D instead of %-changes?
After a few weeks?
Read 8 tweets
In #NewYork a woman can now have an #abortion at any anytime in her #pregnancy. Up to the 9th months

What's next? A law saying you can off you kid after birth

They do it to #babies that come out alive at abortion clinics

These people are pure evil! This pisses me off so much⬇
I want to make a video about abortion on my #YouTube channel but I can't get through finding clips without my eye's watering up. It breaks my heart. I'm a very strong man. I don't cry.

I have a soft spot for #kids. Them being hurt or #murdered eats at me. They are helpless.⬇
We have to stop the #DeepState. Abortion and #ChildTrafficking has to be stopped! This shit can't keep happening.

That is the main reason I'm in this fight. We have to fight for the #children because they can't #fight for themselves. It's on us to #protect them.⬇
Read 7 tweets
#PregnancyCardiology Primer courtesy of a fantastic lecture by Dr. Sabrina Phillips from Mayo Clinic. Follow the thread #ACCFIT s for a good overview of considerations. #FelllowsFirst #MedEd

How does plasma volume and erythrocyte volume change during pregnancy? 1/12
#PregnancyCardiology Primer

Other important factors in the cycle of volume expansion and decreased SVR
2/12

#FellowsFirst #ACCFIT
#PregnancyCardiology

Cardiac Output changes in Pregnancy

3/12

#FellowsFirst #ACCFIT
Read 12 tweets
How gender identity politics is endangering #WomensRights masquerading under the guise of “progressivism”- or in other words, as I said to this @notokyriarchy fatherfucker, an #MRA’s dream come true
- (thread)
I shouldn’t have to explain the realities of sex-based oppression in 2018! #Female is a biological sex. #Gender is the roles and norms that are imposed on those with female bodies to subjugate them to males for free sexual, domestic, and reproductive labor.
No matter how many genders a given culture had or recognized, somehow, the half of the group with a cock and balls (males) knew which other half of the group to forcibly impregnate (“#NonMen”, according to some). 🤔🤔🤔
Read 22 tweets
We really need to talk more about #abortion as an option for women.
It's hard to say this and hard to hear it for many, but just because you discover you are pregnant doesn't mean you must carry that pregnancy to term. Your decision will last the rest of your life--and the rest of the life of any child you decide to carry to term.
#abortion
And no, I am not advocating #abortion.
I'm advocating thinking about parenthood & all it entails.
Because once you have a child, you can't just walk away from that life.
And women/girls are talked into maintaining pregnancies every day.
More discussion would change that.
Read 15 tweets
10-20% of pregnant women experience depression and/or anxiety during the perinatal period. (peri=around, natal=birth). #MaternalMHMatters #PerinatalMentalHealth
Maternal prenatal stress has been associated with a range of negative outcomes in the baby.. such as obstetric outcomes (e.g. preterm birth, low birth weight), emotional outcomes, behavioural outcomes and cognitive outcomes. Review: sciencedirect.com/science/articl…
The biological basis for this is still poorly understood. More research is needed in this area to help identify early markers (as well as protective factors) and to help inform early interventions to ensure the best possible outcome for the mother and the baby.
Read 16 tweets

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